| NPI | 1811249295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.009874) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 2073) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2024-10-08 |